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Milbactor

Milbactor is indicated for the treatment of mixed infections by adult cestodes (tapeworms) and nematodes (roundworms) in both cats and dogs. It contains 2 active ingredients with proven efficacy, and is perfect for the treatment and protection against most types of intestinal worm.

Milbactor is also licensed for the prevention and treatment of lungworm, and the prevention of heartworm in dogs.

Milbactor 12.5mg/125mg Tablets for Dogs (4 Tablets)

Milbactor 12.5mg/125mg Tablets for Dogs (4 Tablets)

£12.85

Milbactor Worming Tablets are for the treatment of mixed infections by adult cestodes (tapeworms) and nematodes (roundworms) in dogs weighing more than 5kg. Milbactor for Dogs can also be...[More info]

£12.85
Milbactor 16mg/40mg Tablets for Cats (4 Tablets)

Milbactor 16mg/40mg Tablets for Cats (4 Tablets)

£10.85

Milbactor Worming Tablets are for the treatment of mixed infections by adult cestodes (tapeworms) and nematodes (roundworms) in cats weighing over 2kg. Milbactor for Cats can also be used...[More info]

£10.85
Milbactor 2.5mg/25mg Tablets for Small Dogs and Puppies (4 Tablets)

Milbactor 2.5mg/25mg Tablets for Small Dogs and Puppies (4 Tablets)

£4.74

Milbactor Worming Tablets are for the treatment of mixed infections by adult cestodes (tapeworms) and nematodes (roundworms) in small dogs and puppies weighing more than 0.5kg. Milbactor...[More info]

£4.74

Indications for use, specifying the target species
Dogs :
Treatment of mixed infections by adult cestodes and nematodes of the following species:
- Cestodes: Dipylidium caninum, Taenia spp, Echinococcus spp, Mesocestoides spp.
- Nematodes: Ancylostoma caninum, Toxocara canis, Toxascaris leonina, Trichuris vulpis, Crenosoma vulpis (Reduction of the level of infection)
Angiostrongylus vasorum (Reduction of the level of infection by immature adult (L5) and adult parasite stages; see specific treatment and disease prevention schedules under section "Amounts to be administered and administration route").
Thelazia callipaeda (see specific treatment schedule under section "Amounts to be administered and administration route").
The product can also be used in the prevention of heartworm disease (Dirofilaria immitis), if concomitant treatment against cestodes is indicated.
Cats:
Treatment of mixed infections by immature and adult cestodes and nematodes of the following species:
- Cestodes: Dipylidium caninum, Taenia spp, Echinococcus multilocularis
- Nematodes: Ancylostoma tubaeforme, Toxocara cati
Prevention of heartworm disease (Dirofilaria immitis) if concomitant treatment against cestodes is indicated.

Contraindications
Dogs
Do not use in puppies of less than 2 weeks of age and/or weighing less than 0.5 kg.
Do not use in case of hypersensitivity to the active substances or to any of the excipients.
See also point "Special precautions for use".
Cats
Do not use in cats of less than 6 weeks of age and/or weighing less than 0.5 kg.
Do not use in cases of hypersensitivity to the active substances or to any of the excipients.

Special warnings for each target species
Dogs
Parasite resistance to any particular class of anthelmintic may develop following frequent, repeated use of an anthelmintic of that class.
Cats
It is recommended to treat all the animals living in the same household concomitantly.
In order to develop an effective worm control programme local epidemiological information and the risk of exposure of the cat should be taken into account.
When D. caninum infection is present, concomitant treatment against intermediate hosts, such as fleas and lice, should be considered to prevent re-infection.
Parasite resistance to any particular class of anthelmintic may develop following frequent, repeated use of an anthelmintic of that class.

Special precautions for use in animals
Dogs
Studies with milbemycin oxime indicate that the margin of safety in certain dogs of Collie or related breeds is less than in other breeds. In these dogs, the recommended dose should be strictly observed.
The tolerance of the product in young puppies from these breeds has not been investigated.
Clinical signs in Collies are similar to those seen in the general dog population when overdosed (see in point "Overdose").
Treatment of dogs with a high number of circulating microfilariae can sometimes lead to the appearance of hypersensitivity reactions, such as pale mucous membranes, vomiting, trembling, laboured breathing or excessive salivation. These reactions are associated with the release of proteins from dead or dying microfilariae and are not a direct toxic effect of the product. The use in dogs suffering from microfilaremia is thus not recommended.
In heartworm risk-areas, or in the case it is known that a dog has been travelling to and from heartworm risk regions, before using the product, a veterinary consultation is advised to exclude the presence of any concurrent infestation of Dirofilaria immitis. In the case of a positive diagnosis, adulticidal therapy is indicated before administering the product.
Echinococcosis represents a hazard for humans. In case of Echinococcosis, specific guidelines on the treatment and follow up and on the safeguard of persons have to be followed. Experts or institutes of parasitology should be consulted.
No studies have been performed with severely debilitated dogs or individuals with seriously compromised kidney or liver function. The product is not recommended for such animals or only according to a benefit/risk assessment by the responsible veterinarian.
In dogs less than 4 weeks old, tape worm infection is unusual. Treatment of animals less than 4 weeks old with a combination product may therefore not be necessary.
Cats
No studies have been performed with severely debilitated cats or individuals with seriously compromised kidney or liver function. The product is not recommended for such animals or only according to a benefit/risk assessment by the responsible veterinarian.

Special precautions to be taken by the person administering the veterinary medicinal product to animals
Wash hands after use.
In the event of accidental ingestion of the tablets, particularly by a child, seek medical advice immediately and show the package leaflet or the label to the doctor.
Part tablets should be returned to the open blister pocket and inserted into the outer carton.

Adverse reactions (frequency and seriousness)
Dogs
On very rare occasions, systemic signs (such as lethargy), neurological signs (such as muscle tremors and ataxia) and/or gastrointestinal signs (such as emesis, diarrhoea, anorexia and drooling) have been observed in dogs after administration of the combination of milbemycin oxime and praziquantel.
Cats
On very rare occasions, especially in young cats, systemic signs (such as lethargy), neurological signs (such as ataxia and muscle tremors) and/or gastrointestinal signs (such as emesis and diarrhoea) have been observed after administration of the combination milbemycin/praziquantel.

Use during pregnancy, lactation or lay
Dogs
The product may be used in breeding dogs including pregnant and lactating bitches.
Cats
The veterinary medicinal product can be used in breeding cats including pregnant and lactating queens

Interaction with other medicinal products and other forms of interaction
No interactions were observed when the recommended dose of the macrocyclic lactone selamectin was administered during treatment with the combination of milbemycin oxime and praziquantel at the recommended dose. In the absence of further studies, caution should be taken in the case of concurrent use of the product and other macrocyclic lactones. Also, no such studies have been performed with reproducing animals.

Overdose (symptoms, emergency procedures, antidotes), if necessary
In case of overdose, in addition to signs observed at the recommended dose (see "Adverse reactions"), drooling may be observed. This sign will usually disappear spontaneously within a day.

Withdrawal period(s)
Not applicable.